| Marana Health Center Inc | |
|
13395 N Marana Main St Marana AZ 85653-7008 | |
| (520) 682-4111 | |
| (520) 682-3817 |
| Full Name | Marana Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 13395 N Marana Main St, Marana, Arizona |
| Authorized Official Name and Position | Joshua B Carzoli (CEO) |
| Authorized Official Contact | 5206824111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marana Health Center Inc Po Box 188 Marana AZ 85653-0188 Ph: (520) 682-4111 | Marana Health Center Inc 13395 N Marana Main St Marana AZ 85653-7008 Ph: (520) 682-4111 |
| NPI Number | 1164526471 |
|---|---|
| Provider Enumeration Date | 09/08/2006 |
| Last Update Date | 05/06/2024 |
| Medicare PECOS PAC ID | 2365348091 |
|---|---|
| Medicare Enrollment ID | O20100720000610 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164526471 | NPI | - | NPPES |
| 329592 | Other | AZ | AHCCCS GROUP NUMBER |
| 929343 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | OTC-0032 (Arizona) | Primary |
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